Coastal Physical Medicine Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24538 Issued in AL

Legal business name

COASTAL PHYSICAL MEDICINE INC

Practice address

1600 N McKenzie St
Foley, AL 36535-2248

Phone

(251) 955-2225

Fax

(251) 980-1945

NPI assigned

Apr 18, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard Rizzuto, DC

Title

President

Phone

(251) 955-2225

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1407290695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352248",
            "telephone_number": "251-955-2225",
            "fax_number": "251-980-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352248",
            "telephone_number": "251-955-2225",
            "fax_number": "251-980-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHYSICAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "RIZZUTO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-955-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "24538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Chiropractic and Acupuncture LLC
• Coastal Chiropractic L.L.C.
• Coastal Family Medicine LLC
• Coastal Hand Therapy
• Coastal Occupational Medicine and Pain Management, P.C.
• Coastal Spine and Pain
• Coastal Surgery, PC
• Coastal Therapeutics, Inc
• Cobb and Terrezza OD PC
• Jonathan P Cobb, O.D.

• Family Medicine Physician in Foley, AL
• Providers in Foley, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.